The holder whose full name is AVERY, ROBERT DANIEL,come from MICHIGAN CITY IN,hold the Dentist license(NO.12004733A) which status is Expired.
| Name | AVERY, ROBERT DANIEL |
|---|---|
| License Number | 12004733A |
| License Type | Dentist |
| License Status | Expired |
| City | MICHIGAN CITY |
| State | IN |